Summary

The tests show several parameters that need attention: low ferritin (iron stores), low vitamin D, borderline high LDL cholesterol and slightly elevated liver enzymes. This may indicate chronic iron deficiency, vitamin D insufficiency, early lipid metabolism disorders and possible liver strain. Other parameters (glucose, thyroid hormones, hemoglobin, inflammation markers) are within normal range.

Abnormal Parameters

• Ferritin: 12 mcg/L (low, normal range 30–150 mcg/L)
• Vitamin D (25(OH)D): 18 ng/mL (low, normal range 30–60 ng/mL)
• LDL Cholesterol: 4.2 mmol/L (high, optimal < 3.0 mmol/L)
• ALT: 48 U/L (high, normal < 40 U/L)

Interpretation and Connections

1. Ferritin

Low levels indicate depleted iron stores, even if hemoglobin is still normal. This often causes fatigue, reduced concentration, brittle hair and nails.

Connection: In women with regular menstruation, ferritin deficiency is a common cause of chronic fatigue. Even without anemia, it can reduce work capacity and cause drowsiness.

2. Vitamin D

Low levels can lead to reduced immunity, poor bone and joint health, chronic fatigue and low mood.

Connection: Low vitamin D is often associated with frequent colds, muscle and bone aches, and depressive symptoms.

3. LDL Cholesterol

Elevated "bad" cholesterol is a risk factor for atherosclerosis and cardiovascular disease. With normal "good" cholesterol (HDL), the risk is lower but still requires prevention.

Connection: With family history, sedentary lifestyle and excess saturated fats in diet, the risk of cardiovascular issues increases.

4. ALT (Alanine Aminotransferase)

Mild elevation may indicate liver stress — from fatty foods, alcohol, certain medications or early fatty liver changes.

Connection: Combined with high cholesterol and excess weight, this may suggest non-alcoholic fatty liver disease (NAFLD).

Normal and Encouraging Findings

• Glucose: 4.9 mmol/L — stable blood sugar, no signs of diabetes
• Hemoglobin: 130 g/L — no anemia, but low ferritin is a warning sign
• TSH: 2.1 mIU/L — normal thyroid function
• ESR: 5 mm/h — no signs of acute inflammation

Risks and Recommendations

1. Iron Deficiency

• Enrich your diet with heme iron foods (red meat, liver, turkey, seafood)
• Combine iron with vitamin C for better absorption
• Recheck ferritin in 3–4 months

2. Low Vitamin D

• Take supplements (dosage should be determined by doctor based on levels)
• More sunlight exposure (11 am to 3 pm)
• Recheck levels in 3–6 months

3. LDL Cholesterol

• Increase vegetables and fiber in your diet, reduce saturated fats (butter, fatty meat)
• Add physical activity 150 min/week
• Repeat lipid profile in 6 months

4. Liver (ALT)

• Reduce alcohol and fatty food intake
• Get liver ultrasound if enzymes remain elevated

Conclusion

The tests show a combination of three common issues: iron deficiency, vitamin D insufficiency and early lipid metabolism changes. With dietary adjustments, supplements and lifestyle modifications, these parameters can be restored within months, reducing long-term risks for heart, bones and overall energy levels.